Accuracy of Three-Dimensional Saline Infusion Sono-Hysterography Versus Diagnostic Hysteroscopy in Diagnosis of Uterine Cavity Lesions | ||
| The Medical Journal of Cairo University | ||
| Volume 90, Issue 12, December 2022, Pages 1971-1976 PDF (201.71 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjcu.2022.286917 | ||
| Authors | ||
| AHMED ALI M. ALI, M.Sc.; FAHD A. AL OMDA, M.D.; ABDELMONSEF A. MOUSTAFA, M.D. | ||
| The Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University | ||
| Abstract | ||
| Abstract Background: Endometrial carcinoma & benign entities like normal proliferative transformation, hyperplasia, & polyps can all lead to abnormal uterine cavity. Addition of three-dimensional (3D) sonohysterography to conventional sono-hysterography improves accuracy of endometrial pathology diagnosis. Three-Dimensional Saline Infusion Sono-Hysterography (3D SIS) assess uterine contour, adhesions, & focal pathologies with confidence. Aim of Study: To compare between accuracy of three-dimensional saline infusion sono-hysterography versus diag-nostic hysteroscopy in diagnosis of uterine cavity lesions. Patients and Methods: This was a prospective cohort research, conducted at Al-Hussein Hospital of Al-Azhar University on a total of 60 cases with uterine cavity lesions from March 2021 till March 2022. Results: 3D SIS was significant in detecting uterine cavity abnormality with sensitivity of 92.5% and specificity of 95% while PPV was 97% and NPV was 86% with accuracy of 93.3 %. Conclusion: Saline infusion sonohysterography in three dimensions is safe alternative to hysteroscopy. In diagnosis of uterine cavity lesions, it is comparable to hysteroscopy, & it may be used as primary technique for assessing uterine cavity when intracavitary lesions are suspected. Hysteroscopy is still gold standard for evaluating uterine cavity. | ||
| Keywords | ||
| 3D sonohysterography; Fibroid; Hysteroscopy; Polyps | ||
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